Inpatient Hospital Services Other Than In An Institution For Mental DiseasesIn past years, Congress has chosen to allow this cost to shift to the 30 percent beneficiaries who are not held harmless. The total cost increase is spread over far fewer people, instead of all beneficiaries, and those who are not protected pay a much bigger share of Medicare Part B costs. This could happen again for the 2021 premium..Another issue known as "balance billing" arises when patients are billed the difference between what a doctor charges for a service and what an insurer is willing to pay for it..If you are in for observation, Medicare considers you an outpatient, and your services are covered under Medicare Part B. Generally, this means you will have a co-payment for each individual outpatient service. In some cases, your total copayments for all services may even be more than the inpatient hospital deductible. In addition, most of the prescription drugs you get in an outpatient setting aren't covered by Part B and you would need to check with your drug plan to find out whether the drugs would be covered. … Continued
FoundationIn addition, one new cosponsor Rep. Corrine Brown signed on to the Improving Access to Medicare Coverage Act. The cosponsor total is now up to one hundred and forty-four. If signed into law, H.R. 1179 would amend current Medicare policy to count hospital stays under "observation status" towards the three-day requirement for skilled nursing care. Currently, those under "observation status" don't qualify for coverage of the benefit, and they are often hit with large, unexpected bills after receiving necessary medical care. TSCL believes the current policy is unfair, and we were glad to see support grow for H.R. 1179 this week..Action from Congress is needed to address Social Security's looming shortfall. Without it, the Social Security Trust Fund is estimated to run short by 203Should that occur, benefits would be reduced by about 22% to match the level of payroll taxes coming in..Most surviving children would not be eligible for Notch Fairness Act benefits, but the issue should concern every single child of a Notch Baby. Recent Social Security reform proposals to attach a "price index" to the Social Security benefit formula would cut benefits for future retirees in a manner similar to the 1977 changes that led to the Notch. In addition, Congress thus far has taken no constructive non-partisan action to address Social Security's looming shortfall - meaning they may have to make very deep and abrupt cuts when they can no longer stall for time. … Continued